Internal hemorrhoids referred to as internal hemorrhoids are now known as anal cushions and play a very important role in the precise control of bowel movements and anal drainage. Then the concept of hemorrhoid treatment is now not to cure but to treat the symptoms. For example, if you have bleeding in the stool, or if you have a mass that is prolapsing, then consider treating it. And not a simple concept like cure. Internal hemorrhoids are referred to as internal piles. Internal hemorrhoids are born above the dentate line, and the soft venous mass formed by the enlarged varicose vein plexus of the hemorrhoids under the mucous membrane is called internal hemorrhoids. Internal hemorrhoids differential diagnosis a, rectal prolapse prolapse material was ring or spiral, the length of 2-100n or longer, the surface is smooth, color light red or bright red, no varicose veins, generally no bleeding. Rectal polyps are mostly seen in children, there may be blood in stool or a small amount of dripping blood, never ejaculate blood, the prolapse is single with a tip, smooth surface, hard texture than hemorrhoids: three, rectal cancer is mostly seen in middle age and above, often in the feces with pus, blood, mucus, increased stool, stool deformation, anal fingerprinting touched cauliflower-shaped lumps or uneven ulcers, hard texture, and push the unshakable. Fourth, the anal papilla hypertrophy is a conical, grayish-white epidermal elevation near the dentate line, hard texture, generally not bleeding. When the anal papilla is over-enlarged, it can be prolapsed out of the anus after bowel movement. Fifth, lower gastrointestinal bleeding ulcerative colitis, Crohn’s disease, rectal hemangioma, diverticulosis, polyposis, etc., can have varying degrees of blood in the stool, need to be sigmoidoscopy or fiberoptic colonoscopy can be identified.